In some states, these bills propose that medical providers be prohibited from or penalized for providing transition-related medical care to minors, including temporary puberty blockers or hormone therapy. In other states, additional requirements—including increased training for medical providers and consent from all parents/guardians (even if the minor has no contact with all parents/guardians)—would delay access to potentially-life-saving care. Other bills also posit that school personnel would be required to report suspicions of gender nonconformity to parents/guardians, potentially endangering the children. Of the bills introduced in 2021, they were adopted in Arkansas and Tennessee. In Arkansas, four families of transgender youth and two doctors have challenged the law
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